Healthcare Virtual Assistant | Insurance Verification | Prior Auth
Iloilo
I am a dedicated Healthcare Administrative and Verification Specialist with over 4 years of experience in healthcare support, insurance verification, prior authorizations, patient records management, and financial reconciliation. My career spans across telehealth, hospital administration, and banking, giving me a strong foundation in both healthcare operations and finance. ✔ Skilled in insurance eligibility checks, claims processing, CPT/ICD-10 coding review, bank reconciliation, and accounts payable. ✔ Experienced in virtual assistance, medical records management, and patient support for U.S.-based healthcare providers. ✔ Known for accuracy, compliance, and professionalism in handling sensitive data and patient information. My goal is to help healthcare providers and organizations streamline their administrative processes, reduce errors, and improve efficiency while ensuring patients receive the support they need
Thirty Madison, full_time
Sep 2024 to Mar 2026
• Verified U.S. insurance eligibility, benefits, and coverage using payer portals and EMR systems • Managed patient inquiries, appointment scheduling, and service requests, via phone and email/chat support. • Supported telehealth operations, ensuring accurate EMR documentation and data entry. • Maintained strict HIPAA compliance and resolved patient issues within SLA timelines • Coordinated with providers and internal teams to improve patient experience and workflow efficiency
Carelon, full_time
Mar 2023 to May 2024
• Handled provider and member inquiries related to eligibility benefits, and claims statuses • Delivered high-volume inbound and outbound call support in a fast-paced environment • Utilized CRM tools to document interactions ad ensure accurate case resolution • Achieved strong first call resolution and customer satisfaction metrics
Nearsol, full_time
Sep 2020 to Aug 2022
• Performed insurance verification and eligibility checks for U.S. patients, ensuring accurate benefits and coverage details • Processed prior authorizations and claims submissions in compliance with payer requirements • Managed denial resolution, appeals, and A/R follow-ups to ensure timely reimbursement • Investigated and resolved claim rejections, billing discrepancies, and payer issues • Collaborated with providers and insurance companies to support revenue cycle management (RCM) • Maintained accurate documentation while ensuring HIPAA compliance
Producers Saving Bank Corporation, full_time
Jun 2016 to Nov 2019
• Performed account reconciliation, financial reporting, and data entry with high accuracy • Maintained organized financial records and supported month-end and audit processes • Assisted with accounts payable/receivable tracking and transaction monitoring • Provided administrative support to improve workflow efficiency and documentation accuracy